[Spontaneous intestinal hematoma as anticoagulant treatment complication].
The haemoperitoneum and bowel haematoma are complications of the oral anticoagulant treatment. The abdominal pain in patient under oral anticoagulant drugs represents a diagnostic problem; apart of the acute abdomen, we also have to consider unusual haemorrhagic lesion, rare in patients without coagulation problems. The early diagnosis of the complication in the patients permits a conservative treatment with excellent prognosis, instead of performing surgical operations in subjects with frequent comorbidities. We report a case of haemoperitoneum and intramural bowel haematoma in a patient with altered laboratory parameters and haemodynamic instability that required an urgent surgical procedure.
Leonardo
G
G
Università degli Studi di Roma La Sapienza, Policlinico Umberto I, Dipartimento di Chirurgia General F. Durante, IV Scuola di Specializzazione in Chirurgia Generale, Rome.
Catracchia
V
V
Molina
A
A
Bengochea
J M
JM
Heredero
J M
JM
Lòpez
A
A
Gòmez
O
O
Bezzi
M
M
D000074:Acenocoumarol / Q000009:adverse effects*; D000368:Aged; D000787:Angina Pectoris / Q000188:drug therapy; D000925:Anticoagulants / Q000009:adverse effects*; D006406:Hematoma / Q000139:chemically induced* / Q000601:surgery; D006465:Hemoperitoneum / Q000139:chemically induced* / Q000601:surgery; D006801:Humans; D007579:Jejunal Diseases / Q000139:chemically induced* / Q000601:surgery; D008297:Male; D016896:Treatment Outcome
D000925:Anticoagulants; D000074:Acenocoumarol